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WEDI Emerging Technology Subworkgroup: Navigating the Maze of Modern Health Care Regulations

Knowledge Center WEDI Emerging Technology Subworkgroup: Navigating the Maze of Modern Health Care Regulations February 29, 2024 In the ever-evolving world of health care, keeping up with regulations can be very complex. The recent CMS Interoperability and Prior Authorization final rule is a case in point, sparking discussions across the health care spectrum—from large EMR…

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WEDI Emerging Technology Subworkgroup: APIs, AI, and the Art of Health Care Data

Knowledge Center WEDI Emerging Technology Subworkgroup: APIs, AI, and the Art of Health Care Data February 22, 2024 In the fast-evolving landscape of health care data management, the WEDI Emerging Technology Subworkgroup identified critical issues raised on the recent WEDI webinar “The Road to Interoperability Series: Patient Access API & Provider Access API.” The SWG…

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Emerging Technology Subworkgroup: Navigating the Complexity of Payer-to-Payer Systems

Knowledge Center Emerging Technology Subworkgroup: Navigating the Complexity of Payer-to-Payer Systems February 15, 2024 In a recent discussion by the WEDI Emerging Technology Subworkgroup, professionals discussed the challenges and opportunities associated with the new payer-to-payer data exchange requirements included in the Centers for Medicare & Medicaid Services (CMS Interoperability and Prior Authorization final rule. The…

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Coding for Care: CMS’s GitHub Repository is Modernizing Health Care Transparency

Knowledge Center Coding for Care: CMS’s GitHub Repository is Modernizing Health Care Transparency February 7, 2024 Written by Samantha Holvey, Director of Workgroups & Communication In the evolving landscape of health care information technology, The Centers for Medicare & Medicaid Services (CMS) has embraced an innovative approach to enhancing transparency and collaboration. By leveraging the…

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Insight into the CMS Interoperability and Prior Authorization Final Rule

Knowledge Center Insight into the CMS Interoperability and Prior Authorization Final Rule January 29, 2024 Written by Robert Tennant, VP Federal Affairs, WEDI WEDI was pleased to have Alexandra Mugge, the Chief Health Informatics Officer and Director at the Centers for Medicare & Medicaid Services, provide an in-depth walkthrough of the recently finalized CMS Interoperability…

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HHS Issues Final HTI-1 Rule

Knowledge Center HHS Issues Final HTI-1 Rule December 13, 2023 Written by Robert Tennant, VP Federal Affairs, WEDI On the eve of its annual meeting in Washington, D.C., the Office of the National Coordinator for Health Information Technology (ONC) finalized its Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing (HTI-1) rule. Key…

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Spotlight on Excellence: The 2023 WEDI Awards

Knowledge Center Spotlight on Excellence: The 2023 WEDI Awards October 30, 2023 Nominate Today! It’s that time of year again, when we celebrate the brightest stars and unsung heroes in the realm of health care. The WEDI Awards, a revered tradition since 2001, shines a light on those who’ve made monumental contributions to our nation’s…

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Solving for Automated Prior Authorization: Three Things You Need to Know

Knowledge Center Solving for Automated Prior Authorization: Three Things You Need to Know August 17, 2023 Written by Maxim Abramsky, AVP Product Management, Edifecs Prior authorization has become increasingly burdensome for patients, providers, and even health plans. Most prior authorization requests are done manually, in a non-standard process that often results in substantial administrative costs,…

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Opportunities and Challenges: Moving from ICD-10 to ICD-11

Knowledge Center Opportunities and Challenges: Moving from ICD-10 to ICD-11 August 10, 2023 Written by Robert Tennant, VP Federal Affairs, WEDI Developed by the World Health Organization (WHO), the International Classification of Diseases, 11th Revision (ICD–11) is the international standard for systematic recording, reporting, analysis, interpretation and comparison of healthcare mortality and morbidity data. This…

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Prior Authorization included in New Mental Health Parity Proposed Rule

Knowledge Center Prior Authorization included in New Mental Health Parity Proposed Rule July 27, 2023 Written by  by Robert Tennant, VP Federal Affairs, WEDI A Notice of Proposed Rulemaking (NPRM) has been released by the departments of Labor, Health and Human Services and the Treasury entitled “Requirements Related to the Mental Health Parity and Addiction…

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